Idaho
Division of Occupational and Professional Licenses
STEPHEN THEODORE WALLER DIEMONT
Board Of Medicine
License number
M-9908
Date granted
04/23/2007
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
EMERGENCY MEDICINE OF IDAHO Meridian ID 83642
idaholicensing.com
ID 48345104
LAST UPDATED 2024-04-07 06:24:18 UTC
LAST UPDATED 2024-04-07 06:24:18 UTC
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